Provider Demographics
NPI:1457372484
Name:YIN, JANE JIANFANG (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:JIANFANG
Last Name:YIN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:JIANFANG
Other - Middle Name:JANE
Other - Last Name:YIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3405
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3405
Mailing Address - Country:US
Mailing Address - Phone:509-892-2700
Mailing Address - Fax:509-892-2740
Practice Address - Street 1:13103 E MANSFIELD AVENUE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1642
Practice Address - Country:US
Practice Address - Phone:509-892-2700
Practice Address - Fax:509-892-2740
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46365207ZP0102X
IL036114554207ZP0102X
WAMD00041810207ZP0102X
MI4301091220207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0533210001OtherDMERC
14243OtherDEAN HEALTH PLAN
WA2180474Medicaid
WI34707700Medicaid
2016801OtherPHYSICIANS PLUS
390808509OtherCIGNA
MI220A176130OtherBCBS OF MICHIGAN
34707700OtherHIRSP
14243OtherDEAN HEALTH PLAN
34707700OtherHIRSP